MOUNTAIN LAKES MEDICAL CENTER, LLC
NPI 1457585556
Clinic/Center - Urgent Care in Mountain Lakes, NJ

NPI Status: Active since May 05, 2009

Contact Information

100 ROUTE 46 E
BUILDING B, SUITE 204
MOUNTAIN LAKES, NJ
ZIP 07046
Phone: (973) 917-3200
Fax: (973) 917-3201

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 31D1104277
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-27-2025

About MOUNTAIN LAKES MEDICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Mountain Lakes Medical Center, Llc, a provider established in Mountain Lakes, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1457585556 assigned on May 2009. The practitioner's primary taxonomy code is 261QU0200X with license number 25MA07139700 (NJ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Richard Joseph Schweitzer Md (President)

NPI
1457585556
Provider Name
MOUNTAIN LAKES MEDICAL CENTER, LLC
Entity Type
Organization
Location Address
100 ROUTE 46 E BUILDING B, SUITE 204 MOUNTAIN LAKES, NJ 07046
Location Phone
(973) 917-3200
Location Fax
(973) 917-3201
Mailing Address
100 ROUTE 46 E BUILDING B, SUITE 204 MOUNTAIN LAKES, NJ 07046
Mailing Phone
(973) 917-3200
Mailing Fax
(973) 917-3201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2009
Last Update Date
12-11-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
25MA07139700
License State
NJ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICHARD JOSEPH SCHWEITZER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(973) 917-3200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
163185OTHER (01)NJMEDICARE PTAN
6728370001MEDICARE NSC (07)NJ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D1104277
Facility Type
Physician Office
Certificate Effective Date
August 28, 2023
Certificate Expiration Date
August 27, 2025
Laboratory Director
RICHARD J. SCHWEITZER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mountain Lakes Medical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457585556
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410710810510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 0 + 8 + 1 + 0 + 5 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1457585556 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457585556, enumerated as an "organization" on May 05, 2009.

The provider is located at 100 ROUTE 46 E BUILDING B, SUITE 204 MOUNTAIN LAKES, NJ 07046 and the phone number is (973) 917-3200.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.